Evaluation of interprofessional care processes for patients treated with oral anticancer drugs.

Information on interprofessional team composition and functioning in the care for patients on oral anticancer drugs (OACDs), and how healthcare professionals (HCPs) evaluate in-hospital care processes is scarce. We aimed to investigate interprofessional care processes for OACD-patients in a partiall...

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Published in:Journal of Interprofessional Care Vol. 36; no. 4; pp. 509 - 520
Main Authors: Kinnaer, Lise-Marie, Kenis, Ilyse, Foulon, Veerle, Van Hecke, Ann
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Jul/Aug2022
Online Access:View this record in EBSCOhost
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      dt: Jul/Aug2022
      vid: 36
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/13561820.2021.1929103
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        atl: Evaluation of interprofessional care processes for patients treated with oral anticancer drugs.
      aug:
        au:
          Kinnaer, Lise-Marie
          Kenis, Ilyse
          Foulon, Veerle
          Van Hecke, Ann
        affil: Department of Pharmaceutical and Pharmacological Sciences, Clinical Pharmacology and Pharmacotherapy, KU Leuven, Leuven, Belgium
      sug:
        subj:
          Interprofessional Relations
          Multidisciplinary Care Team Evaluation
          Neoplasms Drug Therapy
          Antineoplastic Agents Administration and Dosage
          Administration, Oral
          Acute Care Evaluation
          Oncologic Care Evaluation
          Process Assessment (Health Care)
          Human
          Multimethod Studies
          Questionnaires
          Attitude of Health Personnel Evaluation
          Personnel, Health Facility
          Semi-Structured Interview
          Oncologists
          Physician Attitudes Evaluation
          Nursing Staff, Hospital
          Pharmacist Attitudes Evaluation
          Psychologists
          Patient Education
          Time Factors
          Teamwork Evaluation
          Collaboration
          Thematic Analysis
      ab: Information on interprofessional team composition and functioning in the care for patients on oral anticancer drugs (OACDs), and how healthcare professionals (HCPs) evaluate in-hospital care processes is scarce. We aimed to investigate interprofessional care processes for OACD-patients in a partially mixed-methods study. A combination of (a) the CareProces Self-Evaluation Tool (CPSET), completed by HCP-team members by health profession who were either currently involved in care processes (oncologists and nurses) or potentially involved in future care (pharmacists, psychologists, social workers), and by hospital managers (N = 87) and (b) semi-structured interviews in a subsample of oncologists, nursing staff, and pharmacists (N = 26) were used. Care process coordination was evaluated poorly, mainly by nurses, pharmacists, and psychologists. Nurses and pharmacists believed that they were not engaged in the organization of OACD care, lacked role clarity, and perceived no meaningful interprofessional practice. HCPs had different perceptions toward timing and planning of patient education and follow-up. Monitoring of care processes occurred only occasionally and was unstructured resulting in apoor complication-management and variance within care processes. Care processes for OACD-patients showed opportunities for optimization of interprofessional practice in timing, planning, and monitoring. Rethinking care processes through co-design is needed.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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